Contact

REGISTRATION
Before signing up for a trip, please contact us about availability and to determine which trip is right for you. Once we have confirmed availability, please continue with the registration process below.

Personal Information
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  8. (valid email required)
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Emergency Contact Information
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Trip of Interest
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Participant Medical History
  1. Climbing and skiing in general and at high altitude is extremely strenuous. In addition, medical care may not be immediately available in the backcountry. We do not want you to engage in any activity that would be detrimental to your health or which would be opposed by your doctor because of recent illness, injury, surgery, etc. If you have any questions regarding your participation in the trip or expedition, please contact your doctor.
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  3. Any History Of :
  4. If you marked any of the above, please explain below or attach a separate sheet if more room is needed. Please include date, length, severity, treatment, current symptoms and limitations:
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  6. List any/all physical limitations or medical conditions that may restrict your ability to participate in this program. Attach a separate page if needed.
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  8. List any/all medications that you take regularly or intermittently and why:
  9. By checking the box below, I verify that the information I have provided on MCC Participant Medical History is true, complete and correct.
Fitness and Experience Level
  1. How would you rate your current level of physical fitness:
  2. In regard to the specific trip you are participating in, please give a detailed account of your experience and level. Be specific to the individual sports, ie: rock and ice climbing, alpine ascents, and skiing:
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  4. Please describe your average weekly workouts
 

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